Cerebral infarction patient convulses suddenly, how to deal with nursing?

2022-06-27 0 By

Ambulance picked up a patient with a seizure.The patient, Li Damiang, 78 years old, old female, had a history of hypertension and diabetes. After the Spring Festival, she was hospitalized in the central hospital with “acute cerebral infarction” and discharged after thrombolysis.After being discharged from hospital, he continued to carry out rehabilitation training at home. Now he can walk two steps with the help of his family members, but in most cases he is still paraplegic and sick in bed.Today, the patient suddenly convulsed in bed. The patient and his family members were very nervous, so they called 120 for help.If the patient is in home care during the convulsion, need to go to the hospital for head CT examination, check the intracranial situation, whether there is a recurrence of cerebral infarction or other organic lesions.Most cases, the patient has cerebral infarction in the first, after the convulsion, more for the sequela of cerebral infarction.Two, medication nursing cerebral infarction patients with the sequelae of convulsions, the need for regular antiepileptic drug treatment.If the patient has a persistent epileptic state, cranial pressure dehydrating agent should be used, such as mannitol injection, intravenous injection of sodium valproate, or continuous intravenous pumping to suppress seizures.If the seizures are short in duration, oral antiepileptic drugs can be used to control them.1, the grand mal A convulsion cerebral infarction patients, if performance is big attack, but muscle phenobarbital sodium injection, control of symptoms, when two or more seizures, routine use of antiepileptic drugs, commonly used sodium propionate, karma west drug control seizures, equal treatment to cerebral protection at the same time, the commonly used drugs were olathe, pyrazole raschig, cytidine diphosphate choline and so on.2, microepileptic seizures if considered to be microepileptic seizures, most patients with self-limited, do not need special treatment.When repeated epileptic seizure, also can use a few positive medicaments, can be taken orally application carbamazepine, valproic acid sodium fights epilepsy, treat cerebral infarction actively.3, epileptic persistent state epileptic persistent state, timely intravenous pump diazepam to control epilepsy, when necessary, at the same time to reduce cranial pressure and brain protection treatment.1. Observation of vital signs Continuous ecg monitoring was performed to closely observe changes in respiration, blood pressure, pulse and body temperature, so as to timely detect cerebral hernia, new embolism and changes in cardiovascular function.The disability rate and fatality rate of patients with fever after cerebral infarction are high. The temperature change should be closely monitored. If fever occurs, report to the doctor immediately and take corresponding measures to reduce the temperature to normal.2. Observe and record the amount of fluid in and out, and limit the intake of fluid to prevent the aggravation of cerebral edema and reduce the incidence of epilepsy.Iv. Safe nursing Because cerebral infarction patients have convulsions, it is easy to cause fracture or limb damage, there are safety risks, need someone to accompany, to ensure patient safety.Five, strengthen psychological nursing cerebral infarction disability rate as high as 72.5%~75%, many patients on their own dysfunction show anxiety.Epileptic seizures, patients and their families often panic and other negative emotions, should be given enough psychological support, care to encourage patients, follow the doctor’s advice to take medicine on time, early functional training or physical therapy, play the role of family and social support system.Declaration: The copyright of this article belongs to the original author, if there is a source error or infringement of your legitimate rights and interests, you can contact us through the mailbox, we will promptly deal with.Email address: jpbl@jp.jiupainews.com